Ebram M Fanous, PT | |
134 W University Dr Ste 103, Rochester, MI 48307-1951 | |
(248) 650-1984 | |
(248) 650-1994 |
Full Name | Ebram M Fanous |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 134 W University Dr Ste 103, Rochester, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053502468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501011728 (Michigan) | Primary |
Provider Name | Theramax Rehab Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851458608 PECOS PAC ID: 9739282278 Enrollment ID: O20070321000312 |
Mailing Address | Practice Location Address |
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Ebram M Fanous, PT 134 W University Dr Ste 103, Rochester, MI 48307-1951 Ph: (248) 650-1984 | Ebram M Fanous, PT 134 W University Dr Ste 103, Rochester, MI 48307-1951 Ph: (248) 650-1984 |
Matthew Rolf, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 223 Pine St, Rochester, MI 48307 Phone: 248-918-8575 | |
Daniel Randar, Physical Therapist Medicare: Medicare Enrolled Practice Location: 507 E University Dr Apt 402, Rochester, MI 48307 Phone: 803-448-1510 | |
Vijay S Digambaranath, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5638 | |
Dheeraj Kumar Pulijala, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 W University Dr, Suite 130, Rochester, MI 48307 Phone: 248-652-1135 Fax: 248-652-0280 | |
Mrs. Michelle Claudette Decker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 W University Dr Ste 130, Rochester, MI 48307 Phone: 248-652-1135 Fax: 248-652-0280 | |
Erin Rose Hart, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5363 |